Individual
DR. VINAY PREMRAJH RUGNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N. STATE STREET, JACKSON, MS 39216
(601) 984-6800
Mailing address
2500 N. STATE STREET, JACKSON, MS 39216
(601) 984-6800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-5552
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/28/2024
Last updated
08/01/2024
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